CN114587566A - Liver courage pancreas patient wound hemostasis device - Google Patents

Liver courage pancreas patient wound hemostasis device Download PDF

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Publication number
CN114587566A
CN114587566A CN202210207593.3A CN202210207593A CN114587566A CN 114587566 A CN114587566 A CN 114587566A CN 202210207593 A CN202210207593 A CN 202210207593A CN 114587566 A CN114587566 A CN 114587566A
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handle
slide
rod
hemostatic
air bag
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CN114587566B (en
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郑璐
李靖
米娜
尤楠
王梁
王峥
吴柯
张英
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Second Affiliated Hospital Army Medical University
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Second Affiliated Hospital Army Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M35/00Devices for applying media, e.g. remedies, on the human body
    • A61M35/10Wearable devices, e.g. garments, glasses or masks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation

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  • Life Sciences & Earth Sciences (AREA)
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  • General Health & Medical Sciences (AREA)
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  • Surgery (AREA)
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  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
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  • Otolaryngology (AREA)
  • Hematology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to the technical field of medical instruments, in particular to a postoperative wound hemostasis device for patients with hepatobiliary pancreas, which comprises a handle with a hollow structure, an electrocoagulation electrode and a drug delivery part, wherein the electrocoagulation electrode and the drug delivery part are arranged on the handle, the drug delivery part comprises a drug storage box and a rotating rod coaxially and rotatably connected with the handle, one end of the rotating rod, which extends out of the handle, is provided with a restraint bin for restraining sterile sponge, a pressure rod is arranged perpendicular to the axis of the handle, the lower end of the pressure rod is positioned in the handle, the upper end of the pressure rod is a free end, a transmission unit and a step-by-step drug feeding unit are also arranged in the handle, the pressure rod drives the rotating rod to rotate through the transmission unit when the pressure rod is pressed, and the pressure rod guides a hemostatic in the drug storage box into the restraint bin through the step-by-step drug feeding unit when the pressure rod is pressed. The invention makes the sterile sponge and the bleeding point contact by avoiding the blood coagulation part on the sterile sponge, so that the blood at the bleeding point can be fully coated with the hemostatic agent, thereby reducing the operation difficulty of an operator and improving the hemostatic efficiency.

Description

Hepatobiliary pancreas patient wound hemostasis device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a postoperative wound hemostasis device for a patient with hepatobiliary pancreas.
Background
When a patient is clinically subjected to hepatobiliary pancreatic surgery, the wound needs to be immediately stopped after a section is cut by a scalpel, the conventional stopping method is electrocoagulation stopping, the stopping method can stop bleeding through electrocautery stopping points, stopping bleeding can be achieved within 1-2 seconds, the bleeding amount of the patient is small due to the fact that the operation is simple, the stopping speed is high, and the patient becomes the conventional stopping method for the surgery.
The aseptic sponge that present commonly used medicine hemostasis method needs the reuse to dip in the hemostatic or change the aseptic sponge that has soaked the hemostatic in advance and just can accomplish the hemostasis operation, and above-mentioned process operation step is many, and the duration is long, has the waste of different degrees to aseptic sponge and hemostatic. Still lack among the prior art and can continuously provide hemostatic to aseptic sponge, and can practice thrift hemostatic device.
In order to solve the problems, the prior art CN 110960316B discloses a rapid hemostasis device for hepatobiliary surgery, which comprises a drug hemostasis part and an electric coagulation hemostasis part arranged on a handle, wherein the drug hemostasis part comprises a drug supply bin filled with a hemostatic agent and a constraint bin communicated with the drug supply bin and used for constraining an aseptic sponge, the hemostatic agent is guided into the constraint bin by the drug supply bin and then soaked into the aseptic sponge in the constraint bin, when hemostasis is needed, the aseptic sponge soaked with the hemostatic agent is contacted with a bleeding point by a handle held by an operator to achieve the purpose of hemostasis, the prior art simplifies the hemostasis operation steps, and the aim of continuously supplying drugs to the aseptic sponge is fulfilled.
However, the above prior art has the following drawbacks: the sponge in the prior art is fixed, the hemostat hemostasis is generally realized by accelerating the coagulation of blood through the coagulation factor in the hemostat, and during the actual operation, because the wound area in the hepatobiliary pancreas operation is not large, when the hemostasis device in the prior art is used by an operator for hemostasis operation, the same area on the sterile sponge is contacted with a bleeding point for hemostasis every time, when the sponge with the hemostatic contacts the bleeding point of the human tissue to stop bleeding, blood can adhere to the contact area on the sponge and quickly coagulate to block the pores on the sponge, so that the hemostatic can not flow out from the contact area any more, further, the aim of stopping bleeding by continuously contacting the bleeding point with the sponge cannot be achieved, and in order to continue stopping bleeding, the operator needs to continuously adjust the arm movement to contact the bleeding point with different surface areas on the sponge so as to achieve the aim of stopping bleeding at the bleeding point.
Disclosure of Invention
The invention aims to provide a postoperative wound hemostasis device for patients with hepatobiliary pancreas, which aims to solve the technical problem that in the prior art, a surgeon needs to continuously adjust arm movements to enable different surface areas on a sponge to be in contact with bleeding points so as to achieve hemostasis on the bleeding points.
In order to achieve the above purpose, the basic scheme of the invention is as follows:
a postoperative wound hemostasis device for a hepatobiliary pancreatic patient comprises a handle with a hollow structure, an electrocoagulation electrode arranged outside the side wall of one end of the handle and a drug delivery part used for coating a hemostatic agent on a bleeding point, wherein the electrocoagulation electrode is externally connected with a power supply, and an electrocoagulation switch for controlling the running of the electrocoagulation electrode is arranged on the handle;
the drug delivery part comprises a drug storage box which is arranged in the inner cavity of the handle and used for storing hemostatic and a rotating rod which is coaxially and rotatably connected with the handle, one end of the rotating rod, which extends out of the handle, is provided with a restraint bin for restraining sterile sponge, a compression rod is vertically arranged perpendicular to the axis of the handle, the lower end of the compression rod is positioned in the handle, the upper end of the compression rod is a free end, a transmission unit and a step-by-step drug feeding unit which are matched with the compression rod are further arranged in the handle, the compression rod drives the rotating rod to rotate through the transmission unit when the compression rod is pressed, and the compression rod guides the hemostatic in the drug storage box into the restraint bin through the step-by-step drug feeding unit when the compression rod is pressed.
The principle and the beneficial effects of the basic scheme of the invention are as follows:
the sterile sponge is loaded into the restraint bin, part of the sterile sponge is exposed out of the rotating rod, the handle is held by hand, and the pressing rod is pressed to enable part of the hemostatic in the medicine storage box to be led into the restraint bin to soak the sterile sponge. When hemostasis is needed, firstly, the electrocoagulation switch is pressed to perform electrocoagulation hemostasis on the surgical wound surface through the electrocoagulation electrode, when bleeding points of the surgical wound surface bleed, the handle is held by hand to enable the sterile sponge on the rotating rod to contact the bleeding points, and the hemostatic agent on the sterile sponge contacts the blood at the bleeding points to accelerate the coagulation speed of the blood at the bleeding points, so that the purpose of hemostasis is achieved. When blood on the sterile sponge is coagulated to enable the hemostatic agent on the same contact point on the sterile sponge to flow out and be affected, the compression rod is pressed to enable the rotating rod to rotate for a certain angle and the medicine storage box to supply medicine to the sterile sponge again.
The scheme integrates the electric coagulation hemostasis and the medicine hemostasis, so that the electric coagulation hemostasis and the medicine hemostasis are convenient to quickly switch, and the hemostasis speed is improved; the hemostatic agent is guided into the restraint bin while the rotating rod drives the sterile cotton to rotate by pressing the pressure rod, so that a surgeon can keep the same operation action to enable different areas on the sterile sponge to sequentially contact bleeding points, the operation of the surgeon is facilitated, the action amplitude of the surgeon is reduced, and the physical strength is saved; the aseptic sponge is contacted with the bleeding point by avoiding the blood coagulation part on the aseptic sponge, so that the blood at the bleeding point can be fully coated with the hemostatic agent, and the hemostatic efficiency is improved.
Further, the transmission unit including vertical set up in rack on the depression bar, with handle fixed connection's first fixed plate, through first one-way bearing with first fixed plate rotates the pivot of connecting and with the coaxial fixed connection's of rotating-rod gear shaft, in the pivot with the coaxial setting of pivot with rack toothing's first gear and with gear shaft meshing's second gear, first gear pass through second one-way bearing with the pivot is rotated and is connected, the second gear with pivot fixed connection, the depression bar bottom sets up the elastic component that makes the depression bar rebound reset.
When pressing the depression bar and making the depression bar remove downwards, rack on the depression bar makes first gear revolve, the one-way bearing card of second is dead this moment, pivot and second gear all rotate with first gear synchronization, and then the gear shaft follows to rotate and drives the rolling bar and rotate certain angle together with aseptic sponge, the depression bar makes first gear antiport with rack rebound on the depression bar under the elasticity of elastic component after pressing the end, first gear revolutes a shaft antiport, first one-way bearing card is dead this moment makes the pivot can not the antiport, the depression bar resets.
Further, the step-by-step medicine feeding unit comprises an elastic air bag which is arranged below the pressure rod and fixedly connected with the inner wall of the handle and a connecting shaft which is coaxially arranged with the gear shaft, the connecting shaft is fixedly connected with the inner wall of the handle through a second fixing plate, one end of the connecting shaft is in sealed rotary connection with one end of the gear shaft far away from the rotating rod, a hollow groove with one open end is arranged in the connecting shaft, the open end of the hollow groove is communicated with a first channel, one end of the first channel is communicated with the restraining bin, the other end of the first channel penetrates through the rotating rod and the gear shaft along the axis of the handle, one end of the elastic air bag is communicated with the inner cavity of the medicine storage box through a first one-way valve, fluid is allowed to flow from the outer space of the elastic air bag to the inner space of the elastic air bag through the first one-way valve, and the other end of the elastic air bag is communicated with the hollow groove in the connecting shaft through a shutoff valve, the flow restriction valve permits fluid flow from the flexible bladder lumen to the void only when the flexible bladder is compressed.
When the pressing rod is pressed to enable the rotating rod to rotate, the pressing rod presses the elastic air bag to enable the hemostatic agent in the elastic air bag to flow into the restraint bin through the shutoff valve and the first channel.
Further, the stop valve includes the valve body, the level sets up first slide in the valve body, the one end of first slide with elasticity gasbag intercommunication, the other end of first slide is sealed, first slide with the one end of elasticity gasbag intercommunication sets up to the taper hole, the first traveller of first slide internal seal sliding connection, set up on the first traveller with taper hole complex conical surface, set up first spring between first traveller and first slide bottom, the both ends of first spring respectively with first traveller with the bottom of first slide is connected, set up in the valve body with the discharge hole of the inner chamber of first slide and valve body exterior space intercommunication sets up first pipeline on the valve body, the one end of first pipeline with the sealed intercommunication of discharge hole, the other end of first pipeline with the dead slot intercommunication.
Further, the pressure lever comprises a quadrangular prism coaxially arranged and a threaded rod which is arranged above the quadrangular prism and is fixedly connected with the quadrangular prism, the handle is provided with a slide hole matched with the quadrangular prism, the threaded rod is connected with a nut in a threaded manner, the lower end of the quadrangular prism is vertically provided with a second slide way and a second slide post in sliding fit with the second slide way, the lower end of the second sliding column extends downwards out of the second slideway, the lower end of the second sliding column is fixedly connected with the baffle plate, the lower end of the quadrangular prism is vertically provided with a second spring, the upper end of the second spring is fixedly connected with the lower end of the quadrangular prism, the lower end of the second spring is fixedly connected with the baffle plate, a third spring which enables the elastic air bag to be in an opening state is vertically arranged in the elastic air bag, the inner surface of the lower part of the elastic air bag is fixedly connected with a limiting block, the lower surface of the baffle is in contact with the elastic air bag, and the elastic coefficient of the second spring is larger than that of the second spring.
The distance that the pressure lever can move downwards can be adjusted by rotating the position of the nut on the threaded rod, so that the purpose of adjusting the angle of the rotating rod which rotates each time when the pressure lever is pressed each time is achieved, when the pressing rod is pressed downwards, the elastic air bag deforms and contracts when the baffle plate extrudes the elastic air bag under the elasticity of the second spring, when the baffle is blocked by the limiting block, the elastic air bag does not contract and deform, when the elastic air bag deforms and contracts to increase the pressure in the inner cavity of the elastic air bag, the first one-way valve prevents the hemostatic in the elastic air bag from flowing into the medicine storage box, under the increased pressure of the inner cavity of the elastic air bag, the first sliding column extrudes the first spring to move towards the direction close to the bottom of the first slide way, so that the conical surface on the first sliding column is separated from the conical hole on the first slide way, and the high-pressure hemostatic in the elastic air bag enters the empty groove through the first slide way through the first pipeline and then flows into the restraint bin to be absorbed by the sterile sponge, so that the hemostatic with the same volume can be guided into the restraint bin like the hemostatic with the same volume when being pressed every time.
When hands are released, the quadrangular prism moves upwards under the elasticity of the second spring and the third spring, the elastic air bag is unfolded to enable the inner cavity of the elastic air bag to form negative pressure, at the moment, the first sliding column moves towards the direction close to the elastic air bag under the elasticity of the first spring to enable the conical surface on the first sliding column to be attached to the conical hole on the first sliding way to block the first sliding way, and meanwhile, the first one-way valve is opened under the negative pressure of the elastic air bag to enable the hemostatic in the medicine storage box to flow into the elastic air bag.
Furthermore, the medicine storage box is provided with a water filling port for communicating the space inside and outside the medicine storage box, the water filling port is provided with a second one-way valve, and the second one-way valve only allows fluid to flow into the medicine storage box from the outside of the medicine storage box.
When the hemostatic in the medicine storage box flows into the elastic air bag, the air outside the medicine storage box enters the medicine storage box from the second one-way valve to supplement pressure loss generated in the inner cavity of the medicine storage box due to the reduction of the hemostatic, and the hemostatic in the medicine storage box can smoothly flow into the elastic air bag.
Further, a battery bin is arranged in the handle, a rechargeable battery is arranged in the electric bin, one end of the handle, far away from the restraint bin, is in threaded connection with a rear cover, closed in the inner cavity of the handle, a charging interface is arranged on the rear cover, and a wire passing pipe used for accommodating an electric wire electrically connected with the rechargeable battery and the electrocoagulation electrode is arranged on the handle.
Drawings
Fig. 1 is a schematic structural view in the front view direction of the present invention.
FIG. 2 is a schematic structural diagram in a top view direction according to the present invention.
FIG. 3 is a schematic diagram of a portion of the right side view of the present invention.
Fig. 4 is an enlarged view of a portion a in fig. 1.
Fig. 5 is an enlarged view of a portion B in fig. 4.
Detailed Description
The following is further detailed by way of specific embodiments:
reference numerals in the drawings of the specification include: the device comprises a handle 10, a rotating rod 101, a sterile sponge 102, a restraint bin 103, an electrocoagulation electrode 20, a medicine storage box 30, a water injection port 301, a pressure rod 40, a threaded rod 401, a quadrangular prism 402, a rack 403, a nut 404, a second slideway 405, a second sliding column 406, a baffle 407, a second spring 408, a first fixing plate 501, a rotating shaft 502, a first one-way bearing 503, a gear shaft 504, a first gear 505, a second gear 506, an elastic air bag 601, a connecting shaft 602, a second fixing plate 603, an empty groove 604, a first channel 605, a first one-way valve 606, a third spring 607, a limiting block 608, a valve body 701, a first slideway 702, a first sliding column 703, a first spring 704, a drainage hole 705, a first pipeline 706, a battery bin 801, a rear cover 802 and a through line pipe 803.
A postoperative wound hemostasis device for a patient with hepatobiliary pancreas of the embodiment is shown in fig. 1, and comprises a handle 10 with a hollow structure, an electrocoagulation electrode 20 vertically and fixedly connected to the outer side wall of one end of the handle 10, and a drug administration part for applying a hemostatic agent to a bleeding point.
A battery bin 801 is arranged in the handle 10, a rechargeable battery is arranged in the electric bin, one end of the handle 10, far away from the restraint bin 103, is in threaded connection with a rear cover 802 for sealing the inner cavity of the handle 10, a charging interface for charging the rechargeable battery is arranged on the rear cover 802, a through pipe 803 is arranged on the handle 10, an electric wire for electrically connecting the rechargeable battery with the electrocoagulation electrode 20 is arranged in the through pipe 803, and an electrocoagulation switch for controlling the running of the electrocoagulation electrode 20 is arranged on the handle 10.
The drug delivery part comprises a drug storage box 30 which is arranged in the inner cavity of the handle 10 and used for storing hemostatic and a rotating rod 101 which is coaxially and rotatably connected with the handle 10, a water injection port 301 which is used for communicating the inner space and the outer space of the drug storage box 30 is arranged on the drug storage box 30, a cover body which opens or closes the water injection port 301 is arranged on the water injection port 301, a second one-way valve is arranged on the cover body, and only fluid flows into the drug storage box 30 from the outside of the drug storage box 30 through the second one-way valve.
Referring to fig. 2 and 3, one end of the rotating rod 101 is located in the handle 10, one end of the rotating rod 101, which extends out of the handle 10, is provided with a restraining bin 103 for restraining the sterile sponge 102, and one end of the rotating rod 101, which is located in the handle 10, is coaxially and fixedly connected with the rotating rod 101 and a gear shaft 504. As shown in fig. 1 and 2, a first passage 605 is provided through the rotary rod 101 and the gear shaft 504 in the axial direction of the handle 10 such that one end of the first passage 605 communicates with the restraining bin 103 and the other end thereof passes through an end surface of the gear remote from the rotary rod 101.
As shown in fig. 2 and 3, a pressing rod 40 is vertically arranged perpendicular to an axis of the handle 10, a lower end of the pressing rod 40 is located in the handle 10, an upper end of the pressing rod 40 is a free end, the pressing rod 40 comprises a quadrangular prism 402 and a threaded rod 401 which is arranged above the quadrangular prism 402 and fixedly connected with the quadrangular prism 402, a sliding hole matched with the quadrangular prism 402 is arranged on the handle 10, a nut 404 is connected to the threaded rod 401 in a threaded manner, a cap body is arranged at an upper end of the threaded rod 401, a rack 403 is fixedly connected to a cylindrical surface of the quadrangular prism 402, the cylindrical surface faces a side wall of the handle 10, and the rack 403 is vertically arranged. Referring to fig. 4, a second slide way 405 and a second slide post 406 in sliding fit with the second slide way 405 are vertically arranged at the lower end of the quadrangular prism 402, the lower end of the second slide post 406 extends downwards out of the second slide way 405, the lower end of the second slide post 406 is fixedly connected with a baffle 407, a second spring 408 is vertically arranged at the lower end of the quadrangular prism 402, the upper end of the second spring 408 is fixedly connected with the lower end of the quadrangular prism 402, and the lower end of the second spring 408 is fixedly connected with the baffle 407.
Referring to fig. 4 and 5, an elastic airbag 601 and a connecting shaft 602 are arranged in the handle 10, the elastic airbag 601 is arranged below the pressure lever 40, the outer wall of the lower portion of the elastic airbag 601 is fixedly connected with the inner wall of the lower portion of the handle 10, a third spring 607 for enabling the elastic airbag 601 to be in an open state is vertically arranged in the elastic airbag 601, a limiting block 608 is fixedly connected to the inner surface of the lower portion of the elastic airbag 601, the lower surface of the baffle 407 is in contact with the elastic airbag 601, and the elastic coefficient of the second spring 408 is greater than that of the third spring 607.
As shown in fig. 4, the connecting shaft 602 is disposed coaxially with the gear shaft 504, the connecting shaft 602 is fixedly connected to the handle 10 through the second fixing plate 603, the upper end of the second fixing plate 603 is fixedly connected to the inner wall of the upper portion of the handle 10, the lower end of the second fixing plate 603 is fixedly connected to the connecting shaft 602, one end of the connecting shaft 602 is rotatably connected to one end of the gear shaft 504 far away from the rotating rod 101 in a sealing manner, an open-ended hollow groove 604 is disposed in the connecting shaft 602, and an open end of the hollow groove 604 is communicated with the first channel 605.
One end of the elastic airbag 601 is communicated with the inner cavity of the medicine storage box 30 through a first one-way valve 606, the first one-way valve 606 only allows fluid to flow from the inner cavity of the medicine storage box 30 to the inner space of the elastic airbag 601, the other end of the elastic airbag 601 is communicated with a hollow groove 604 in the connecting shaft 602 through a cut-off valve, the cut-off valve comprises a valve body 701, the valve body 701 is fixedly connected with the handle 10, a first slide way 702 is horizontally arranged in the valve body 701, one end of the first slide way 702 is communicated with the elastic airbag 601, the other end of the first slide way 702 is closed, one end of the first slide way 702 communicated with the elastic airbag 601 is provided with a conical hole, a first slide column 703 is hermetically and slidably connected in the first slide way 702, a conical surface matched with the conical hole is arranged on the first slide column, a first spring 704 is arranged between the first slide column 703 and the bottom of the first slide way 702, one end of the first spring 704 is fixedly connected with the first slide column 703, and the other end of the first spring 704 is fixedly connected with the bottom of the first slide way 702, a drain hole 705 for communicating the inner cavity of the first slideway 702 with the outer space of the valve body 701 is arranged in the valve body 701, a first pipeline 706 is arranged on the valve body 701, one end of the first pipeline 706 is in sealed communication with the drain hole 705, and the other end of the first pipeline 706 is in sealed communication with the empty groove 604.
As shown in fig. 1-3, a rotating shaft 502 is disposed in the handle 10, an axis of the rotating shaft 502 is parallel to an axis of the handle 10, first fixing plates 501 are disposed at both ends of the rotating shaft 502, the first fixing plates 501 are fixedly connected to an inner wall of the handle 10, both ends of the rotating shaft 502 are rotatably connected to the first fixing plates 501 through first one-way bearings 503, a first gear 505 and a second gear 506 are disposed on the rotating shaft 502 coaxially with the rotating shaft 502, the first gear 505 is engaged with the rack 403, the second gear 506 is engaged with the gear shaft 504, the first gear 505 is rotatably connected to the rotating shaft 502 through a second one-way bearing, a rotation direction of the second one-way bearing is opposite to a rotation direction of the first one-way bearing, when the rack 403 moves downward to drive the first gear 505 to rotate, the second one-way bearing rotates synchronously with the rotating shaft 502, and the second gear 506 is fixedly connected to the rotating shaft 502.
The principle and the beneficial effects of the invention are as follows:
the sterile sponge 102 is loaded into the restraint bin 103, part of the sterile sponge 102 is exposed out of the rotating rod 101, the water filling port 301 on the medicine storage box 30 is opened, the hemostatic agent is filled into the medicine storage box 30, the hemostatic agent flows into the elastic air bag 601 through the first one-way valve 606, at the moment, under the elastic force of the first spring 704, the conical surface on the first sliding column 703 is attached to the conical hole on the first sliding channel 702 to seal the first sliding channel 702, and the hemostatic agent cannot flow into the restraint bin 103 through the first sliding channel 702 and the first channel 605.
The handle 10 is held and the pressing rod 40 is pressed, when the pressing rod 40 is pressed downwards, the elastic air bag 601 is deformed and contracted when the baffle 407 presses the elastic air bag 601 under the elastic force of the second spring 408, when the baffle 407 is blocked by the stop block 608, the elastic airbag 601 is not contracted and deformed, when the elastic airbag 601 deforms and contracts to increase the pressure in the inner cavity of the elastic airbag 601, the first check valve 606 prevents the hemostatic agent in the elastic airbag 601 from flowing into the medicine storage box 30, under the increased pressure in the inner cavity of the elastic balloon 601, the first sliding column 703 presses the first spring 704 to move towards the direction close to the bottom of the first slide way 702, so that the conical surface on the first sliding column 703 is separated from the conical hole on the first slide way 702, and the high-pressure hemostatic in the elastic balloon 601 enters the empty groove 604 through the first pipeline 706 via the first slide way 702 and then flows into the restraint bin 103 to be absorbed by the sterile sponge 102, so that the hemostatic with the same volume as the restraint bin 103 can be introduced during each pressing.
When the pressing rod 40 is pressed to enable the pressing rod 40 to move downwards, the rack 403 on the pressing rod 40 enables the first gear 505 to rotate, the second one-way bearing is clamped, the rotating shaft 502 and the second gear 506 rotate synchronously with the first gear 505, the gear shaft 504 rotates along with the rotating rod 101 and the sterile sponge 102 to rotate for a certain angle, when the hand is released, the quadrangular prism 402 moves upwards under the elastic forces of the second spring 408 and the third spring 607, the first gear 505 rotates reversely around the rotating shaft 502, the first one-way bearing 503 is clamped to enable the rotating shaft 502 not to rotate reversely, and the pressing rod 40 resets and enables the pressing rod 40 to move downwards
When the quadrangular prism 402 moves upward under the elastic force of the second spring 408 and the third spring 607, the elastic airbag 601 expands to form negative pressure in the inner cavity of the elastic airbag 601, at this time, the first sliding column 703 moves toward the elastic airbag 601 under the elastic force of the first spring 704, so that the conical surface on the first sliding column 703 is attached to the conical hole on the first sliding channel 702 to block the first sliding channel 702, and at the same time, the first check valve 606 is opened under the negative pressure of the elastic airbag 601 to enable the hemostatic in the medicine storage box 30 to flow into the elastic airbag 601.
When hemostasis is needed, firstly, the electrocoagulation switch is pressed to perform electrocoagulation hemostasis on the surgical wound through the electrocoagulation electrode 20, when bleeding points of the surgical wound bleed, the handle 10 is held by hand, the sterile sponge 102 on the rotating rod 101 is made to contact with the bleeding points, and the hemostatic agent on the sterile sponge 102 is in contact with the blood at the bleeding points to accelerate the coagulation speed of the blood at the bleeding points, so that the purpose of hemostasis is achieved. When the blood on the sterile sponge 102 coagulates to affect the outflow of the hemostatic agent at the same contact point on the sterile sponge 102, the pressing rod 40 is pressed to rotate the rotating rod 101 by a certain angle and to supply the medicine to the sterile sponge 102 again by the medicine storage box 30.
1. The scheme integrates the electric coagulation hemostasis and the medicine hemostasis into a whole, thereby being convenient for fast switching between the electric coagulation hemostasis and the medicine hemostasis and improving the hemostasis speed;
2. the rotating rod drives the sterile cotton to rotate by pressing the pressure rod, and meanwhile, the hemostatic agent is introduced into the restraint bin, so that a surgeon can keep the same operation action to enable different areas on the sterile sponge to sequentially contact bleeding points, the operation of the surgeon is facilitated, the action amplitude of the surgeon is reduced, and the physical strength is saved;
3. according to the scheme, the sterile sponge is contacted with the bleeding point by avoiding the blood coagulation part on the sterile sponge, so that the blood at the bleeding point can be fully coated with the hemostatic agent, and the hemostatic efficiency is improved;
4. the invention can adjust the rotating angle of the sterile sponge when the compression bar is pressed each time by adjusting the position of the nut on the screw rod, and the rotating angle of the sterile sponge is conveniently adjusted according to the coagulation condition of blood on the sterile sponge so as to fully utilize the area which is not blocked by blood coagulation on the sterile sponge.
The above are merely examples of the present invention, and common general knowledge of known specific structures and characteristics in the schemes is not described herein. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several variations and modifications can be made, which should also be considered as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the utility of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

Claims (7)

1. The utility model provides a hepatobiliary pancreas patient wound hemostasis device after operation, including the handle that has hollow structure, set up in electrocoagulation electrode outside handle one end lateral wall and the portion of dosing that is used for giving the bloodletting point and scribbles the hemostatic agent, the external power supply of electrocoagulation electrode sets up the electrocoagulation switch of control electrocoagulation electrode operation on the handle, its characterized in that:
the drug delivery part comprises a drug storage box which is arranged in the inner cavity of the handle and used for storing hemostatic and a rotating rod which is coaxially and rotatably connected with the handle, one end of the rotating rod, which extends out of the handle, is provided with a restraint bin for restraining sterile sponge, a compression rod is vertically arranged perpendicular to the axis of the handle, the lower end of the compression rod is positioned in the handle, the upper end of the compression rod is a free end, a transmission unit and a step-by-step drug feeding unit which are matched with the compression rod are further arranged in the handle, the compression rod drives the rotating rod to rotate through the transmission unit when the compression rod is pressed, and the compression rod guides the hemostatic in the drug storage box into the restraint bin through the step-by-step drug feeding unit when the compression rod is pressed.
2. The device of claim 1, wherein the hemostatic device is applied to the postoperative wound of a patient with hepatobiliary pancreas: the transmission unit including vertical set up in rack on the depression bar, with handle fixed connection's first fixed plate, through first one-way bearing with first fixed plate rotates the pivot of connecting and with the coaxial fixed connection's of rotating-rod gear shaft, in the pivot with the coaxial setting of pivot with rack toothing's first gear and with gear shaft meshing's second gear, first gear pass through second one-way bearing with the pivot is rotated and is connected, the second gear with pivot fixed connection, the depression bar bottom sets up the elastic component that makes the depression bar rebound reset.
3. The device of claim 2, wherein the hemostatic device is applied to the postoperative wound of the patient with hepatobiliary pancreas: the step-by-step medicine feeding unit comprises an elastic air bag which is arranged below the compression bar and fixedly connected with the inner wall of the handle and a connecting shaft which is coaxially arranged with the gear shaft, the connecting shaft is fixedly connected with the inner wall of the handle through a second fixing plate, one end of the connecting shaft is in sealed rotary connection with one end of the gear shaft far away from the rotating rod, a hollow groove with one open end is arranged in the connecting shaft, the open end of the hollow groove is communicated with a first channel, one end of the first channel is communicated with the restraint bin, the other end of the first channel penetrates through the rotating rod and the gear shaft along the axis of the handle, one end of the elastic air bag is communicated with the inner cavity of the medicine storage box through a first one-way valve, fluid is only allowed to flow from the outer space of the elastic air bag to the inner space of the elastic air bag through the first one-way valve, and the other end of the elastic air bag is communicated with the hollow groove in the connecting shaft through a shutoff valve, the flow restriction valve permits fluid flow from the flexible bladder lumen to the void only when the flexible bladder is compressed.
4. The device of claim 3, wherein the hemostatic device is applied to the postoperative wound of the patient with hepatobiliary pancreas: the stop valve includes the valve body, the level sets up first slide in the valve body, the one end of first slide with the elasticity gasbag intercommunication, the other end of first slide is sealed, first slide with the one end of elasticity gasbag intercommunication sets up to the taper hole, the first traveller of first slide internal seal sliding connection, set up on the first traveller with the taper hole complex conical surface sets up first spring between first traveller and first slide bottom, the both ends of first spring respectively with first traveller with the bottom of first slide is connected, set up in the valve body will the inner chamber of first slide and the escape orifice of valve body exterior space intercommunication set up first pipeline on the valve body, the one end of first pipeline with the sealed intercommunication of escape orifice, the other end of first pipeline with the dead slot intercommunication.
5. The device of claim 4, wherein the hemostatic device is applied to the postoperative wound of the patient with hepatobiliary pancreas: the pressure lever comprises a quadrangular prism which is coaxially arranged and a threaded rod which is arranged above the quadrangular prism and is fixedly connected with the quadrangular prism, the handle is provided with a slide hole matched with the quadrangular prism, the threaded rod is connected with a nut in a threaded manner, the lower end of the quadrangular prism is vertically provided with a second slide way and a second slide post in sliding fit with the second slide way, the lower end of the second sliding column extends downwards out of the second slideway, the lower end of the second sliding column is fixedly connected with the baffle plate, the lower end of the quadrangular prism is vertically provided with a second spring, the upper end of the second spring is fixedly connected with the lower end of the quadrangular prism, the lower end of the second spring is fixedly connected with the baffle plate, a third spring which enables the elastic air bag to be in an opening state is vertically arranged in the elastic air bag, the inner surface of the lower part of the elastic air bag is fixedly connected with a limiting block, the lower surface of the baffle is in contact with the elastic air bag, and the elastic coefficient of the second spring is larger than that of the second spring.
6. The device of claim 5, wherein the hemostatic device is applied to the postoperative wound of the patient with hepatobiliary pancreas: the medicine storage box is provided with a water injection port for communicating the inner space and the outer space of the medicine storage box, the water injection port is provided with a second one-way valve, and the second one-way valve only allows fluid to flow into the medicine storage box from the outside of the medicine storage box.
7. A hepatobiliary pancreas patient post-operative wound hemostasis device as claimed in any one of claims 1 to 6, wherein: the handle is internally provided with a battery bin, the electric bin is internally provided with a rechargeable battery, one end of the handle, which is far away from the restraint bin, is connected with a rear cover for sealing the inner cavity of the handle in a threaded manner, the rear cover is provided with a charging interface, and the handle is provided with a through wire pipe for accommodating an electric wire for electrically connecting the rechargeable battery with the electrocoagulation electrode.
CN202210207593.3A 2022-03-03 2022-03-03 Postoperative wound hemostasis device for hepatobiliary pancreas patient Active CN114587566B (en)

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101074740A (en) * 2007-06-15 2007-11-21 陈达 Pressure water valve
CN103453291A (en) * 2013-07-19 2013-12-18 浙江吉利汽车有限公司 Monitor for lubricant oil passage
US20160000418A1 (en) * 2012-12-25 2016-01-07 Fuso Pharmaceutical Industries, Ltd. Hemostatic agent applicator
CN110801260A (en) * 2019-12-16 2020-02-18 河南科技大学第一附属医院 Liver courage pancreas patient wound hemostasis device
CN110960316A (en) * 2019-12-19 2020-04-07 江志杰 Rapid hemostasis device for hepatobiliary surgery
CN211077200U (en) * 2019-08-15 2020-07-24 嘉兴市大明实业有限公司 Ventilated dustbin
CN211675631U (en) * 2019-11-26 2020-10-16 重庆市九龙坡区第二人民医院 Wound cleaning device for thoracic surgery

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101074740A (en) * 2007-06-15 2007-11-21 陈达 Pressure water valve
US20160000418A1 (en) * 2012-12-25 2016-01-07 Fuso Pharmaceutical Industries, Ltd. Hemostatic agent applicator
CN103453291A (en) * 2013-07-19 2013-12-18 浙江吉利汽车有限公司 Monitor for lubricant oil passage
CN211077200U (en) * 2019-08-15 2020-07-24 嘉兴市大明实业有限公司 Ventilated dustbin
CN211675631U (en) * 2019-11-26 2020-10-16 重庆市九龙坡区第二人民医院 Wound cleaning device for thoracic surgery
CN110801260A (en) * 2019-12-16 2020-02-18 河南科技大学第一附属医院 Liver courage pancreas patient wound hemostasis device
CN110960316A (en) * 2019-12-19 2020-04-07 江志杰 Rapid hemostasis device for hepatobiliary surgery

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